Buschbacher R
Indiana University Medical Center, Department of Physical Medicine and Rehabilitation, Indianapolis 46202, USA.
Am J Phys Med Rehabil. 1995 May-Jun;74(3):230-3. doi: 10.1097/00002060-199505000-00009.
Conversion disorder can sometimes simulate Guillain-Barré Syndrome (GBS). This often involves the mimicry of organic symptoms similar to those experienced by a relative or acquaintance. The patient with the conversion unconsciously adopts these symptoms to convert their psychologic stress to a physical phenomenon. This case is of 15-yr-old girl who had a documented case of GBS and who subsequently had recurrent episodes of a conversion disorder that simulated her original GBS presentation. The methods for diagnostically separating recurrent GBS from conversion reaction are noted.
转换障碍有时会模拟吉兰-巴雷综合征(GBS)。这通常涉及模仿亲属或熟人所经历的类似器质性症状。患有转换障碍的患者会无意识地采用这些症状,将其心理压力转化为身体现象。本病例为一名15岁女孩,她曾被诊断患有GBS,随后反复出现转换障碍发作,模拟其最初的GBS表现。文中指出了将复发性GBS与转换反应进行诊断区分的方法。